孙继芾;黄永辉;左华;曹兴兵;江潮;屠海霞;李大鹏;

• 1:江苏大学附属医院脊柱外科

摘要(Abstract)：

[目的]评价经椎弓根硫酸钙人工骨植入联合短节段椎弓根钉棒固定治疗胸腰椎爆裂性骨折的临床疗效。[方法]回顾性分析本院2011年1月~2013年12月30例胸腰椎爆裂性骨折患者,其中15例行短节段椎弓根钉棒固定合并经椎弓根伤椎内硫酸钙人工骨植入(植入组),另15例仅行短节段椎弓根钉棒固定(非植入组)。观察对比两组患者VAS疼痛评分、Cobb角度和伤椎前缘高度丢失率。[结果]植入组与非植入VAS评分术前为7.22 vs 7.32,术后1周为2.47 vs 3.13,术后2年为1.33 vs 1.80,两组间术前,术后1周和术后2年VAS评分差异无统计学意义(P>0.05)。两组Cobb角术前为23.89°vs 25.10°,术后1周为5.47°vs 5.67°,术后2年为6.67°vs 8.60°。两组伤椎前缘高度丢失率术前为49.21%vs 50.73%,术后1周为5.93%vs 6.40%,术后2年为7.40%vs 10.67%。手术前和手术后1周两组间cobb角和伤椎前缘高度丢失率差异无统计学意义(P>0.05),但手术后2年两组间Cobb角和伤椎前缘高度丢失率差异有统计学意义(P<0.05)。[结论]椎体内硫酸钙人工骨植入联合短节段椎弓根钉棒固定治疗胸腰椎爆裂性骨折可以有效维持伤椎高度,避免后凸畸形的发展,该术式的中短期疗效令人满意。

关键词(KeyWords)： 胸腰椎爆裂骨折;硫酸钙;椎体内植骨;椎弓根钉

Abstract:

Keywords:

基金项目(Foundation): 江苏省青年医学人才项目(编号:QNRC2016844)

作者(Author): 孙继芾;黄永辉;左华;曹兴兵;江潮;屠海霞;李大鹏;

Email:

DOI:

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